Provider Demographics
NPI:1790055416
Name:HUGGINS, HAROLD REGINALD (LICSW)
Entity Type:Individual
Prefix:MR
First Name:HAROLD
Middle Name:REGINALD
Last Name:HUGGINS
Suffix:
Gender:M
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1219 MARQUETTE AVE
Mailing Address - Street 2:SUITE 390
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55403-2488
Mailing Address - Country:US
Mailing Address - Phone:612-338-9012
Mailing Address - Fax:612-338-9020
Practice Address - Street 1:1219 MARQUETTE AVE
Practice Address - Street 2:SUITE 390
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55403-2488
Practice Address - Country:US
Practice Address - Phone:612-338-9012
Practice Address - Fax:612-338-9020
Is Sole Proprietor?:No
Enumeration Date:2012-01-11
Last Update Date:2012-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical